Doctor Name: | KATHRYN MAY DAVIS |
NPI Number: | 1588655732 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PSY4616 |
Business Practice Address: | Nacc -- 162 First Street Port Hueneme, CA - 930430001 |
Business Phone Number: | 8059826325 |
Business Fax Number: | |
Mailing Address: | 81 San Benito Ave, VENTURA |
State: | CA |
Postal Code: | 930041148 |
Phone Number: | 8056473096 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY4616 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |